Tuesday, January 21, 2020
I believe managed care plans do not provide coverage for the necessary duration of hospital stays. Most managed care plans, particularly HMOs, are run by for-profit companies. These for-profits are constantly looking for ways to cut costs and increase their market share. Managed care plans limit choice of physicians and health care facilities and tightly control both the utilization of services and the amount charged for these services. In many plans, a set fee per person/per month is negotiated between health care purchasers and providers. This rate is the same no matter how much or how little care a person receives. This can encourage incomplete advice and inadequate treatment, as in the case of the duration of a hospital stay. Most hospital procedures and surgeries, both outpatient and inpatient, require prior approval. Most plans may require that certain procedures and surgeries be done on an outpatient basis in order to be paid for by the plan. Basically, managed care plans cut s the duration of a hospital stay form the usual post-procedure stay period by discharging them home early. For inpatient hospital care, managed care plans often require prior approval to limit the number of days they will pay for your child to stay in the hospital. Coverage for longer stays requires approval by the managed care plan. (Your Managed Care) If longer stay or duration is needed in a hospital, you will be needed to require lengthy appeals and numerous referrals. Without such approval, you may be responsible for part or all of the hospital and physician charges, thus effectively limiting the length of hospital stay. Not only are patients being pressured/forced into limiting their duration of stay in a hospital, but lately physicians are also facing pressure from managed care plans to lower costs of treatments to gain a bigger profit margin. For example until 1996, doctors were allowing a new mother to stay for as little in a hospital post pregnancy as dictated by managed care plans, until a federal mandate put a minimum and gave new mothers at least 48 hours in the hospital. (Wehrwein 1997) Managed care organizations are offering incentives to doctor changes normal procedures and length of stays to limit expense. Procedures that are simpler or require less time, work are done, over more modern better suited for patient procedures. Managed care organizations are primarily worried about controlling costs, and they see that having doctors perform procedures and treatments that require the least amount of hospital stay as more efficient.
Sunday, January 12, 2020
Company has around 15 Vacancies at any given time and 80% of new hires are leaving within probation period. Further he has recruited a former owner of a catering service in UK as the Ã¢â¬Å"Sales and Marketing ManagerÃ¢â¬ of ABC Biscuit Company promising that Mr. Benjamin will bring at least 10 new foreign customers within the first 6 months, and Mr. Benjamin has not introduced any of customers to the company he has only given total cost of exceeding Rs. 250,000/= per month to the company. Possible alternatives were given like Do Post Mortems, Help the problematic employee to get back on track, Offer an internal transfer and Termination etc.This project report discusses the importance of good recruitment at technical and managerial levels and the implications that are encountered as a result of ad hoc recruitment processes. Recruitment is a responsibility of every manager in the Organization. The Project report is divided into five sections namely: Problem Identification; Right nu mber of people at right jobs at right times; Handling Mr. BenjaminÃ¢â¬â¢s situation; Conclusion; Recommended Recruitment and Selection Procedure for ABC Biscuit Company. 2. Problem Identification Managing people is a definite challenge both at strategic or even organizational levels.Thus, human resources are well managed and developed in alignment with the organizational goals and strategies. It has been observed that for any organization to achieve its stated objectives and goals there is the need for management to put in place policies or strategies that will help attract the best of employees to strive towards the achievement of organizational objectives. It has also been observed that the performance output of employees of ABC Biscuit Company is of prime concern to management of ABC Biscuit Company as it affects pproduactivity and the development of the company.Following are some major issues that have been found in ABC Biscuit Company; 2. 1 Poor HR Planning and Management An incompetent and poorly functioning human resources department reflects the overall state of affairs of an organization and its possible uncompetitive position in the marketplace. According to ABC Biscuit Company case study, company has around 15 vacancies at any given time which proof that company has bad HR planning. Bad HR planning ensures that the HR assets of the organization are not aligned to organizational goals and objectives. . 2 High turn over It has also been observed that the performance output of employees of ABC Biscuit Company is of prime concern to management of ABC Biscuit Company as it affects pproduactivity and the development of the bank. Importantly, some of the new employees who are not able to improve and adjust to their new working environment resign within first 6 months of their job leading to employee turnover of 80% and this affects the organization in terms of cost and pproduactivity. 2. 3 Finance manager handling all recruitmentsNot having a proper Huma n Resource Management is a disaster for any company. As we can see from ABC Biscuit Company, Higher Management has appointed Finance Manager (Mr. De Silva) to handle all recruitment of the company which is a wrong decision. When Finance manager perform multiple roles, according to case study give Mr. De Silva has to handle all recruitment apart from finance management, HR processes unlikely to become a priority unless a crisis occurs. Most of the employees whom he has recruited were his relatives and once who are known to him.Clearly we can understand that Mr. De Silva has lack of Human Resource Management knowledge. Without having a proper sound recruitment and selection procedure, he has simply recruited relatives and friends for his own personal benefits. 2. 4 Poor recruitment As a consequence of appointing Finance manager to handle all recruitments, Mr. De Silva has recruited Mr. Benjamin, former owner of a Catering Service in UK as the Sales and Marketing Manager of ABC Biscuit Company. This wrong decision has led to a massive issue for the company.There is no hiring strategy in ABC Biscuit Company, without a hiring strategy we unconsciously gravitate to hiring people who share our personality traits, which can lead to clash of personality and a division of expectations. 3. Right number of people at right jobs at right times Selecting the right person for the job has never been more important than it is today. Hiring the right people for the right positions at the right time is a key ingredient in creating a successful company. This is not easy to do, and most companies falter in this area.In order to ensure ABC Biscuit Company place right number of people at right jobs at right times following can be taken it to action; 3. 1 Build and nurture relationships with every business unit Managers and executives of ABC Biscuit Company need to be connected to other business units and departments so they know when activities in those areas of the business are like ly to create products.
Saturday, January 4, 2020
Elizabeth Blackwell, born in Britain, was the first woman in the United States to earn a medical degree. With her sister Emily Blackwell, she founded the New York Infirmary for Women and Children and trained nurses in the American Civil War. Selected Elizabeth Blackwell Quotations For what is done or learned by one class of women becomes, by virtue of their common womanhood, the property of all women.If society will not admit of womans free development, then society must be remodeled.I must have something to engross my thoughts, some object in life which will fill this vacuum, and prevent this sad wearing away of the heart.It is not easy to be a pioneer Ã¢â¬â but oh, it is fascinating! I would not trade one moment, even the worst moment, for all the riches in the world.A blank wall of social and professional antagonism faces the woman physician that forms a situation of singular and painful loneliness, leaving her without support, respect or professional counsel.The idea of winning a doctors degree gradually assumed the aspect of a great moral struggle, and the moral fight possessed immense attraction for me.Our school education ignores, in a thousand ways, the rules of healthy development.Medicine is so broad a field, so closely interwoven with general int erests, dealing as it does with all ages, sexes and classes, and yet of so personal a character in its individual appreciations, that it must be regarded as one of those great departments of work in which the cooperation of men and women is needed to fulfill all its requirements.[about a first anatomical study of the human wrist]Ã The beauty of the tendons and exquisite arrangements of this part of the body struck my artistic sense, and appealed to the sentiment of reverence with which this anatomical branch of study was ever afterwards invested in my mind.[quoting a professor who turned down her application to another medical school, then her comment on the quote]Ã You cannot expect us to furnish you with a stick to break our heads with; so revolutionary seemed the attempt of a woman to leave a subordinate position and seek to obtain a complete medical education.The admission of a woman for the first time to a complete medical education and full equality in the privileges and t he responsibilities of the profession produced a widespread effect in America. The public press very generally recorded the event,Ã and expressed a favourable opinion of it.The clear perception of the providential call to women to take their full share in human progress has always led us to insist upon a full and identical medical education for our students. From the beginning in America, and later on in England, we have always refused to be tempted by specious offers urged upon us to be satisfied with partial or specialised instruction.Thanks be to Heaven, I am on land once more, and never do I wish again to experience that hideous nightmare Ã¢â¬â a voyage across the ocean.If I were rich I would not begin private practice, but would only experiment; as, however, I am poor, I have no choice.The longer I saw Lady Byron the more she interested me; her insight and judgment are admirable, and I never met a woman whose scientific tendencies seemed so strong.I have at last found a st udent in whom I can take a great deal of interest Marie Zackrzewska, a German, about twenty-six.The practice of the infirmary, both medical and surgical, was conducted entirely by women; but a board of consulting physicians, men of high standing in the profession, gave it the sanction of their names.[M]y hope rises when I find that the inner heart of a human being may remain pure, notwithstanding some corruption of the outer coverings. About These Quotes Quote collection assembled by Jone Johnson Lewis. Each quotation page in this collection and the entire collection Ã © Jone Johnson Lewis. This is an informal collection assembled over many years. I regret that I am not able to provide the original source if it is not listed with the quote.
Friday, December 27, 2019
Nuclear Solution for the Future For forty years the United States has encountered increased prices and demand for energy. So what has been done to end the countryÃ¢â¬â¢s energy crisis? Numerous organizations such as, The Environmental Protection Agency (EPA) and the Department of Energy (DOE) have done research and made recommendations, but no systems have been put in place to resolve this volatile situation. The U.S. has resources and technologies available to solve the energy issue within the next 30 years, yet politicians struggle with the topic for fear of voter reprisal. Environmentalist, special interest, and big business influence politics, nevertheless, elected officials have the responsibility of improving the quality of life forÃ¢â¬ ¦show more contentÃ¢â¬ ¦The environmental fears of Three Mile Island, Chernobyl, and the Fukushima power plant have yet to be seen. Three Mile Island harmed no one, Chernobyl had the Red Forest, where a whole forest of pine trees died and h ad to be removed, and the Fukushima power plant has yet to begin assessing the impact. At Chernobyl many food restrictions were put in place immediately on plant and animal consumption, and several of these remain today. More research needs to be completed. The fear of an accident, and concerns over waste disposal linger in the minds of many, restating the hazards and fears of nuclear energy on the environment. Rising health concerns about radiation and the relation to cancer is the chief concern posed by nuclear power, even though exposure to low-level radiation occurs daily the link to cancer and radiation are confirmed in a report by the EPA Ã¢â¬Å"There is no firm basis for setting a safe level of exposure.... In setting limits, EPA makes the conservative (cautious) assumption that any increase in radiation exposure is accompanied by an increased risk of stochastic (random) effects.Ã¢â¬ The result a nuclear accident can make on a nearby community proves the danger associated with nuclear power supplies. Nuclear power has proven to be dangerous with the possibility of radiation poisoning and highShow MoreRelatedA Nuclear Solution for the Future Essay2276 Words Ã |Ã 10 PagesA Nuclear Solution for the Future For forty years the United States has encountered increased prices and demand for energy. So what has been done to end the energy crisis? Numerous government agencies, such as, the Environmental Protection Agency (EPA) and Department of Energy (DOE) have researched and made recommendations, but no systems are in place to resolve this situation. The U.S. has resources and technologies capable of solving these issues within the next 30 years, yet politicians struggleRead MoreThe Is A Nuclear Waste Site1115 Words Ã |Ã 5 Pagessignificant because a nuclear waste site will be dangerous for a span of ten thousand years. The WIPP, Waste Isolation Pilot Plant, is a nuclear waste site that is the result of testing nuclear weapons from the United States government. The United States citizens must be protected from the radioactive wastes being regulated by the Nuclear Regulatory Commission. (1)The primary goal of the WIPP is to create a sustainable marker or message to warn the citizens of America, and to any future generations, aboutRead MoreChristians and the Environment1095 Words Ã |Ã 5 Pagescommon good, which is simply a goal in life that is held above the private benefits of those individuals. Catholic Social Teaching states that when the individuals of today make sacrifices for the common good of a society, concerns for the welfare of future generations must also be taken into consideration. Massaro gives the example of how all citizens, even an elderly couple without children, should contribute towards the education of the youth in their community. Whether it is through the paying ofRead More Nuclear Waste Essay699 Words Ã |Ã 3 PagesNuclear Waste Introduction The Earths oceans cover approximately three-fourths of the worlds surface. Less than one century ago, it would have been difficult to imagine that humans could significantly pollute these vast bodies of water. For as long as there have been human inhabitants along the coast, people have been utilizing the ocean as a dumping ground for garbage and other rubbish. Although several view the ocean as endless and thus, having plenty of room for the waste; this beliefRead MoreNuclear Energy Pro and Cons1377 Words Ã |Ã 6 PagesTable of content P 1Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦ Introduction P 1-2Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦.. What is the nuclear energy? P 2-3-4Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦.. Avantages and disadvantages P 4-5Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦..Nuclear energy in the US P 5Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦.Conclusion P6Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦..Citations The nuclear energy While demand for energy continues to rise due the continuous need of energy in developing and developed countries and the fast decrease of natural non renewable sources of energyRead MoreNuclear Essay1191 Words Ã |Ã 5 Pageshighly radioactive spent fuel rods from nuclear reactors poses a unique threat to the national security of the United States; especially when public utilities are incentivized to utilize less expensive and arguably more dangerous cooling ponds. 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Thursday, December 19, 2019
Analysis of a case Study Background information about this client in this case study is as followers. The patient is a 30 year old female who has been experiencing signs and symptoms of weakness, numbness, visual disturbances and mood swings over for couple months now. Since client symptoms were becoming a repetition, so CT test was done and the result confirmed a demyelination of the white matter of brain and spinal cord, helping the doctor to conclude this is a factor to why the client is experiences this neurological deficits. Client doctor prescribed her Prednisone which has a positive affect helping to confirm the client diagnosis of Multiple Sclerosis. Researchers have concluded that Multiple Sclerosis occurs whereby theÃ¢â¬ ¦show more contentÃ¢â¬ ¦The Client symptoms confirm that she is experiencing a Relapsing Remitting. Physiology Individual body functions with the nervous system. The nervous system is divided into two parts, central nervous system and the peripheral nervous system. The central nervous system consists of brain and spinal cord whiles the peripheral nervous system consists of the nerves, such as cranial nerves. Cranial nerves job is to connect the central nervous system to the different types of organ in the body. Our neurons consist of cell body which holds the genetic information needed to make protein. Dendrites receive impulses from other cells at the synapses and transmitted them to the cell body. Axon carries outgoing information to its target cell. Neuron has only one axon that includes Axon Hillock. Axon Hillock is the originate place for action potential; Axon collaterals are the branches of axon; Axon terminals which are the sites of neurotransmitter release. The body neuron usually generates an electrical signal and this result in the release of neurotransmitter. The neurot ransmitter purpose is to serve as a chemical messenger that enables cell communication among other cells. Myelin sheath is insulation that wraps around the each axon for about 20 to 200 times. Their segments are significantly separated from each other by node of Ranvier, and the Myelin sheath function to increase the conduction velocity of action potentials. Myelin can be produce in either the CNS or the PNS.
Wednesday, December 11, 2019
Continuous Improvement In todays challenging market there Is no doubt that companies need to Improve their competitiveness. The market has become saturated with products from competitors from all over the globe. Globalizes business has created business competition that many companies have never experienced before. As a result, companies need to be quick and nimble In order to answer to the demand for high quality products produced at shortened delivery times, Increased services, and very competitive prices.Companies that want to remain competitive are faced with two common solutions. The first Is Investment and purchasing technology. This obviously requires financial resources, which generally requires short term price increases to recover the extra costs. Also, the future market competition cannot be assured as a result the company can face financial difficulties from the added debt. The second solution is continuous improvement. This solution is generally chosen because unlike investing which costs a lot of money continuous improvement doesnt require a large capital investment. We will write a custom essay sample on Increasing Competitiveness with Continuous Improvement or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Continuous improvement still increases competitiveness it just does it by focusing on a companys human resources. A companys most important asset is its human resources; however this huge and powerful resource is generally not utilized in most companies. Keep in mind as we move forward that continuous improvement uses five pillars: 1 . Involve all company employees and managers 2. Look for savings without using an investment 3. Quantify information 4. Use common sense 5. Implement ideas Implementing continuous improvement Continuous Improvement also known as Improvement projects are generally large ND can take some time to complete.However, there are smaller forms of continuous Improvement entities that are sometimes referred to as quality circles, suggestion programs, and Improvement groups. In a lot of cases these smaller continuous Improvement groups as well as the Improvement projects are applied wealth a company at the same time. Organizational structure teams. First the implementation team this team consists of two to three members of top management. These members implement and maintain the projects benefits. The second is the improvement team, which includes five to eight members from very department of the company.These members work on implementing improvements ideas. The third team is the support team, who is made up of members from the implementation team and department leaders. The support team develops and implements the project and exchanges information between all teams. Beginning stages of the improvement project Like any project the focus that you have in the beginning will define the entire project moving forward. Thats why it is important to follow the next five steps that define the beginning stages. The first step is defining the projects master lines also known as objective and scope of the project.The second step you will present the project. The project needs to presented and approved by the director and managers of the company. Once approved you are ready to move to the step three which is implementing the project. After implementing the project you will move to step four which is assessing the results and follow up. Compare your results from changes against your projects objectives. The last and final step is extending the project. Gradually update and change other areas based upon your findings. Operation of the improvement projectThe operation of the improvement project is defined by the following five steps. It is important to remember that the improvement teams Job is to introduce continuous improvement and follow these steps during the operation. The first step is to present the project to the improvement team and department employees. During the presentation meeting the scope and objectives of the project are defined to the group. Note that the second step of explaining the diagnosis is completed Just after the presentation meeting. During this step the problem areas are explained and seasoned to the group.The third step is called stages to solve problems. The team will hold weekly meetings to analyze the department problems and assign implementation tasks using a tool called an improvement action plan (PAP). It is important to note that during the solution process there are three stages. The first stage is Learning this is when objectives are defined and improved which leads to continuous improvement. The second stage is establishment during this stage problems are harder to solve, but by this point the team can see its possible to obtain the project objectives. The last and final stage is explosion this is when the team completes and attains its project goals. The fourth step is when the team presents results. During this step the team highlights the project results to the director and company managers. The last step is maintaining results for continuous improvement. This step is extremely important since it is critical that process improvement changes are sustained. Sustained can be achieved by performing Through continuous improvement, companies are capable of producing better laity products and services at a cheaper price.The above summary focuses on implementing a continuous improvement process focusing on the three key elements for a continuous improvement process. The challenging market has caused companies to think outside of the box and look for ways to remain competitive. For most of todays companies the answer is continuous improvement instead of investment improvements. Citations: Parade, J. (1997). Increasing competitiveness with continuous improvement. Industrial Management, 39(4), 25. Retrieved from Obscenest.
Tuesday, December 3, 2019
Protons Weighing Tons And 500 Light Years Per Second The source is a nine volt battery. I'm creating energy by using light pulse transformers...columns of light pulse transformers...The timing is so that the base wire is a constant current.The columns of the light pulse transformers are in a circle all going to the same base wire. They fire like timed pistons in a car engine and are timed by previous pulses heading toward it. Each pulse travels through previous light pulse transformers to get to the last light pulse transformer to reach the base wire and the stepping is the same values, say 10 units of step 10's in each column which would make 10,000,000,000 amps(10 to the 10th). Or say 100 units of step 100's in each column in which each unit is two loops wrapped around 200 loops. That would be 100 to the 100th power of amps...way bigger than the number of atoms in the earth!!!!!!!! It steps the current way up. The battery only has to pulse a little energy every few seconds. An identical machine steps voltage way up. When together a nine volt battery is turned into incredible electricity. But step 1 to 1's are necessary to make them pulse in order. Also, the next column is more step ones than the previous, and the tops of these columns are all started all at once. When the shortest column finishes, they are all started again. To make THIS possible, the battery pulse is followed by a number of sequence pulsers equal to the number of pulsers in the shortest column. With the step 1 to 1,s and other steps, like 1 to 100's the current and voltage are huge and constant and together, making (or using 1000,000 to the 1,000,000 by 1,000,000,000,000 millions transisters) incredible electricity. Then i'm using that to make a powerful particle accelerator. The integrater(current adder)puts the signal in a circuler path and keeps integrating it making it go ?e' to the x.with an ln1,000,000 signal it increases with 1,000,000 as the base. The signals next to each other multiply. Also integrating(adding) current of inverse creates ln(x)'s. Inverting is done by forcing two signals to make a working current equal a constant. With these tools it's possible to control particle and light accelerators. Also, ln of a variable instead of a number makes x to the x power. Add one to lnx and multiply by three x to the x's next to each other. The 1,000,000(x to the(3 times x)). That should wip it to way past light speed in seconds. The tons of circling +protons or electrons are pushed toward a center magnet. That attracting magnet accelerates them without timing... just by force. Also by syncronizing a light source with powerful magnets by letting the source control the magents too, i'm curving light in a vacuum and accelerating it thereby busting into other dimensions. Also fusion is definitely possible with this...from hydrogen directly to iron in one thousandth of a second. A star's work in 2,000,000,000 years The resulting light can be repelled by a syncronizer that collects the light, lets light change the magnetic force, and emits it so the syncronized light is repelled by the magnets. The iron plates and chambers are magnetically erect to prevent melting. The protons and electrons are so massive, the energy is huge. Also, the protons are above the speed of light and on collision brake and release incredible energy especially with their mass!!!!!!!!!!!!!!!!!! If you first turn the current on and then turn the voltage on the current's exponent will multiply by three. Also you can pulse powerful pulsers into the beginning pulser and the current will increase greatly...if you used only 4/1000th mm. wide wire, a a two stepper...in minutes it could be 1,000,000,000 to the 1,000,000th!!!!!!!!!!!!!!!! Also attached machines greatly improve the energy creation rate. Also a magnetic pulser with a funnel-shaped magnet will speed protons up at one end and slow them down at the other making the mass bigger at the front end(speed increases mass by Einsteinium physics) and making a high frequency of back and forth's with the average thrust being forward. Or just releasing the 1,000,000-ton protons or just the light. Also a g-force canceler is made by a disc within a disc. Acceleration will make you learch backward. The outer disc swinging to and from will cancel some of the vector and make sideways vectors of learches. The